Active NPI
Jon Alan Sherrod, MD
- Internal Medicine Physician
- Sheffield, AL
National Provider Identifier
1144234196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00013947
- Practice address
- 422 Cox Blvd
Shoals VA Primary Care Clinic
Sheffield, AL 35660-4000 - Phone
- (256) 381-9055
- Fax
- (256) 381-6101
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00013947 | AL | Primary |
Addresses
Primary practice location
422 Cox Blvd
Shoals VA Primary Care Clinic
Sheffield, AL 35660-4000
Mailing address
2590 County Road 222
Florence, AL 35633-8010
Phone (256) 627-5038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00013947 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144234196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 COUNTY ROAD 222",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356338010",
"telephone_number": "256-627-5038",
"fax_number": "256-381-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 COX BLVD",
"address_2": "SHOALS VA PRIMARY CARE CLINIC",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356604000",
"telephone_number": "256-381-9055",
"fax_number": "256-381-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERROD",
"first_name": "JON",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD00013947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.